A5080128776- Global Cancer Incidence and Screening
- Healthcare Policy and Management
- Global Health Workforce Issues
- Primary Care and Health Outcomes
- Smoking Behavior and Cessation
- Colorectal Cancer Screening and Detection
- Urban Transport and Accessibility
- Obesity, Physical Activity, Diet
- Economic and Financial Impacts of Cancer
- Urban Green Space and Health
- Noise Effects and Management
- Health disparities and outcomes
- Global Health Care Issues
- Health Systems, Economic Evaluations, Quality of Life
- Nursing Roles and Practices
- Patient-Provider Communication in Healthcare
- Public Health Policies and Education
- Migration, Health and Trauma
- Homelessness and Social Issues
- Dental Education, Practice, Research
- Palliative Care and End-of-Life Issues
- Food Security and Health in Diverse Populations
- Alcohol Consumption and Health Effects
- Medication Adherence and Compliance
- Interpreting and Communication in Healthcare
University of Oklahoma Health Sciences Center
2016-2025
Oklahoma State University Oklahoma City
2019-2023
OU Health Stephenson Cancer Center
2017-2023
University of Oklahoma
2018-2023
National Institute of General Medical Sciences
2022
Cherokee Nation
2018-2022
National Institutes of Health
2022
Williams (United States)
2022
OU Health
2020
The Ohio State University
2019
Background: Racial and ethnic disparities in health care have been well documented, but poorly explained. Objective: To examine the effect of access barriers, including English fluency, on racial care. Research Design: Cross-sectional analysis Community Tracking Survey (1996–1997). Subjects: Adults 18 to 64 years with private or Medicaid insurance. Measures: Independent variables included race, ethnicity, fluency. Dependent having had a physician mental visit, influenza vaccination,...
While pervasive racial and ethnic inequalities in access to care health status have been documented, potential underlying causes, such as patients' perceptions of their physicians, not explored thoroughly.To assess whether a person's race or ethnicity is associated with low trust the physician.Data were obtained from 1996 through 1997 Community Tracking Survey, nationally representative sample. Adults who identified physician regular provider had at least 1 visit preceding 12 months included...
ABSTRACT: Context: Obesity is epidemic in the United States, but information on this trend by type of rural locale limited. Purpose: To estimate prevalence and recent trends obesity among US adults residing locations. Methods: Analysis data from Behavioral Risk Factor Surveillance System (BRFSS) for years 1994–1996 (n = 342,055) 2000–2001 385,384). The main outcome measure was (body mass index [BMI] ≥30), as determined calculating BMI respondents' self‐reported height weight. Results: In...
The objective of this study was to assess rural-urban differences in mammography and Papanicolaou (Pap) smear screening.Data from the Behavioral Risk Factor Surveillance System (1994-2000, 2002, 2004) were used examine trends these two tests by residence location.In 2004, 70.8 percent rural 75.7 urban respondents had received timely mammography; difference remained significant adjusted analyses greatest for women remote locations. Although overall participation increased over time, a...
Despite the existence of effective screening, colorectal cancer remains second leading cause death in United States. Identification disparities screening will allow for targeted interventions to achieve national goals screening. The objective this study was contrast rates urban and rural populations design comprised a cross-sectional States 1998-2005. Behavioral Risk Factor Surveillance System data from 1998 2005 were method source. primary outcome self-report up-to-date (fecal occult blood...
Cigarette smoking is the leading preventable cause of death in United States.To estimate prevalence and recent trends among adults by type rural location state.Random-digit telephone survey aged 18 years or older who participated Behavioral Risk Factor Surveillance System 1994-1996 (n = 342,055) 2000-2001 385,384). The main outcome measure was current cigarette smoking, defined as persons smoke every day some days, while nonsmokers were those not at all reported never having smoked many 100...
BACKGROUND Geographic barriers and limited availability of cancer specialists may influence early prostate treatment options for rural men. This study compares receipt different treatments between urban patients. METHODS Using 2004‐2006 SEER Limited‐Use Data, 51,982 patients were identified (T1c, T2a, T2b, T2c, T2NOS; no metastases) who most likely to benefit from definitive (< 75 years old, Gleason score < 8, PSA ≤ 20). Definitive included radical prostatectomy, daily external beam...
Abstract The Tribally-Engaged Approaches to Lung Cancer Screening (TEALS) study aimed co-design and test a community-based lung cancer screening (LCS) program within large, tribally operated health system. In 2020-2021, we conducted pre-post quasi-experimental pilot implementation of tailored comprehensive LCS in two Choctaw Nation Oklahoma (CNO) primary care clinics rural Oklahoma. included quality assessment, academic detailing, practice facilitation, system enhancements, technology...
The objective of this study was to explore Somali mothers' beliefs and practices around infant feeding education, towards developing a culturally informed nutrition curriculum for health providers. Four focus groups were conducted explore: (1) about feeding, hunger ideal weight; (2) practices; (3) education approaches; (4) provider/mother interactions. Thirty-seven mother participants identified the following themes within these topics: strategies assessing hunger, satiety when feed; shared...
OBJECTIVES: To develop a comprehensive inventory of state physical education (PE) legislation, examine trends in bill introduction, and compare factors. METHODS: State PE legislation from January 2001 to July 2007 was identified using legislative database. Analysis included components evidence-based school the Community Guide other authoritative sources: minutes PE, activity, teacher certification, an environmental element, including facilities equipment. Researchers abstracted information...
Background: Estimates of the relative contributions physicians, physician assistants (PAs), and nurse practitioners (NPs) toward rural primary care are needed to inform workforce planning activities aimed at reducing shortages. Objectives: For each provider group, this study quantifies average weekly number outpatient visits types services provided within beyond setting. Methods: A randomly drawn sample 788 601 PAs, 918 NPs with addresses in 13 US states responded a mailed questionnaire that...
The association between the built environment (BE) and walking has been studied extensively in urban areas, yet little is known whether same associations hold for smaller, rural towns. This analysis examined objective measures of BE around participants’ residence their utilitarian recreational from two studies, one Seattle area ( n = 464) other nine small U.S. towns 299). After adjusting sociodemographics, town residents walked less purposes but more purposes. These differences were largely...
Abstract: Female physicians are underrepresented in rural areas. What impact might the increasing proportion of women medicine have on physician shortage? To begin addressing this question, we present data describing geographic distribution female United States. We examine all active U.S. allopathic recorded October 1996 update American Medical Association Physician Masterfile. Percentages and numbers by professional activity, specialty type, location reported. Findings reveal there were...
Objectives. Attitudes towards medical care have a strong effect on utilization and outcomes. However, there has been little attention to the impact outcomes of doubts about value care. This study examines skepticism toward mortality using data from 1987 National Medical Expenditure Survey (NMES). Methods. A nationally representative sample United States comprising 18,240 persons (≥ 25 years) were surveyed. Skepticism was measured through an 8-item scale. Mortality at 5-year follow-up...
Active transportation to and from school (ATS) is a viable strategy help increase physical activity among youth. ATS can be challenging because initiatives require transdisciplinary collaboration, are influenced by the built environment affected numerous policies. The purpose of this study identify policies factors that influence initiatives. Nine elementary schools in seven states participated case study. Sixty-nine stakeholders were interviewed. interviews transcribed, coded analyzed using...
Depression is one of the most commonly encountered chronic conditions in primary care, yet it remains substantially underdiagnosed and undertreated. We sought to gain a better understanding barriers diagnosis entering treatment for depression care.We conducted analyzed interviews with 15 subjects currently being treated recruited from care clinics an academic medical center public hospital. asked about experiences diagnosed starting treatment, focusing on diagnosis, subject depression,...